NPI Code Details Logo

NPI 1316890312

NPI 1316890312 : EVELYN GUEVARA : HUNTINGTON PARK, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316890312
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EVELYN GUEVARA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/18/2026
-----------------------------------------------------
    Last Update Date     |    02/18/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6720 MILES AVE 
-----------------------------------------------------
    City                 |    HUNTINGTON PARK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90255-5012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-588-8296
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6601 MALABAR ST APT N 
-----------------------------------------------------
    City                 |    HUNTINGTON PARK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90255-4061
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    18642
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.